Individual provider Active NPI

Benton Phillips Zwart, MD, MPH

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1003910720
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
K8600 Issued in TX
Practice address
2833 Babcock, Suite 105
Christus Santa Rosa Hyperbaric and Wound Care Center
San Antonio, TX 78229
Phone
(210) 705-5030
Fax
(210) 705-5035
NPI assigned
Sep 12, 2006
Last updated
Jan 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X K8600 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X K8600 TX Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X K8600 TX

Addresses

Primary practice location

2833 Babcock, Suite 105
Christus Santa Rosa Hyperbaric and Wound Care Center
San Antonio, TX 78229

Mailing address

1716 Winding VW
San Antonio, TX 78260-7219
Phone (210) 705-5030

Other identifiers 1

IdentifierTypeStateIssuer
046692205MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K8600TXMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donald C. Frame, MD, PA Undersea and Hyperbaric Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1003910720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 WINDING VW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782607219",
            "telephone_number": "210-705-5030",
            "fax_number": "210-705-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK, SUITE 105",
            "address_2": "CHRISTUS SANTA ROSA HYPERBARIC AND WOUND CARE CENTER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-705-5030",
            "fax_number": "210-705-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWART",
        "first_name": "BENTON",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "K8600",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "K8600",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TX",
            "license": "K8600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046692205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.